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Anasthesiol Intensivmed Notfallmed Schmerzther. 2008 Nov;43(11-12):786-91; quiz 793. doi: 10.1055/s-0028-1104619. Epub 2008 Nov 18.

[Techniques of extracorporeal lung support].

[Article in German]

Author information

1
Klinik für Anästhesiologie, Universitätsklinikum Regensburg. thomas.bein@klinik.uni-regensburg.de

Abstract

For patients with severe acute respiratory distress syndrome techniques of extracorporeal lung support have been established thirty years ago. In the beginning of such a strategy a roller-pump-driven veno-venous extracorporeal membrane oxygenation (ECMO) was used, which was characterized by high complication rate. Meanwhile the development of a miniaturized ECMO using centrifugal pumps might have improved the safety of use. Recently a pumpless arterio-venous interventional lung assist (iLA) was introduced. While ECMO enables a complete extrapulmonary gas exchange, iLA provides effective CO(2)-elimination. In this review, technical basements, results from clinical studies, incidence of complications and algorithms for clinical use of extracorporeal lung support systems are discussed.

PMID:
19016390
DOI:
10.1055/s-0028-1104619
[Indexed for MEDLINE]
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